“TRISNA” Conceptual Model and Spiritual Approach to Build Body Image, Self-Esteem, and Quality of Life in Cervical Cancer Patients at Dr. Moewardi Hospital, Surakarta, Indonesia

Background: The problems of cervical cancer patient’s psychological response to advanced cancer are acute crisis, struggle, anxiety, and sadness, which will interfere with their life, especially sexual relations with their partners. Sexual relations in the Javanese view are a noble, sacred bond and have the function to maintain harmony. The spiritual approach and "TRISNA" which contains the principles of Javanese teachings about sincerity should be applied by cervical cancer patients and their sexual partners. This study aimed to determine the effect of palliative sexuality treatment with a "TRISNA" and spiritual approach to body image, self-esteem, and quality of life in cervical cancer patients at Moewardi Hospital Surakarta.Subjects and Method: This study was a quasi-experimental design using 138 samples divided into three groups, namely the TRISNA, Spiritual, and control groups with a pre-test-post-test control group design conducted at Dr. Moewardi Hospital Surakarta, Central Java, in May to August 2019. The dependent variable in this study is the body image scale, self-esteem, and quality of life. The independent variables in this study are the TRISNA and spiritual approaches. The instruments used are the body image scale, self-esteem scale, and the European Organization for Research and Treatment of Cancer (EORTC) QOQ-CX24. Statistical analysis using t-test with SPSS 13 application software.Results: The results showed that sexuality with the TRISNA and spiritual approaches can improve body image (F= 137.67), self-esteem (F= 241.05), and quality of life (F= 76.95) of cervical cancer patients with a significant value for each group (p≤0.001).Conclusion: Sexuality with TRISNA's approach is the most influential in body image, self-esteem, and quality of life in cervical cancer patients in cervical patients Moewardi Hospital Surakarta.Keywords: body image scale, self-esteem, quality of life, sexuality, spiritualCorrespondence: Rita Benya Adriani, Ministry of Health of Surakarta, Health Polytechnics Surakarta, Letjend Sutoyo Street, Mojosongo, Surakarta 57127, Central Java, Indonesia. Email: [email protected]. Mobile +628122617033.Indonesian Journal of Medicine (2023), 08(01): 37-46https://doi.org/10.26911/theijmed.2023.08.01.0

Effect of Date Palm (Phoenix dactylifera) Fruits Consumption on Birth Delivery Outcome: Meta-Analysis

Background:  The choice of cesarean section continues to increase in the world and is expected to continue to increase over the coming decades, which is almost a third of all deliveries in 2030. The benefits of dates for improving labor processes are considered to increase vaginal deliveries and also reduce the frequency of cesarean sections with the aim of reducing bigger complications. This study aims to analyze and estimate the influence of the consumption of dates on labor outcomes.Subjects and Method:  This study is a systematic review and meta-analysis with PICO, P: Pregnant women, I: consumption of dates, C: No consumption dates, O: Bishop's score, length of labor, and postpartum hemorrhage. Data collection was obtained from databases, namely: PubMed, Science Direct, Springer Link, and Google Scholar. Keywords used “date fruit” OR “date palm” OR “phoenix dactylifera” AND “labor” AND “delivery”, AND “oxytocin” AND “hemorrhage”. The inclusion criteria used were full papers in English with the design of randomized controlled trials in 20002022. This study was analyzed using RevMan 5.3 software.Results:  Meta-analysis was conducted on 4 primary studies from several countries such as Iran, Malaysia, and Saudi Arabia with a sample size of 603 pregnant women. The meta-analysis concluded that there was an effect of date consumption on cervical dilatation upon admission to the hospital (SMD= 0.73; CI 95%= 0.09 to 1.38; p=0.030). Consumption of dates also has an effect on the duration of active 1st stage labor (SMD= 0.46; CI 95%= 0.82 to 0.09; p= 0.010). Consumption of dates has a weak effect on the length of stage II labor (SMD= 0.05; 95% CI= 0.88 to 0.78; p= 0.910). In addition, the consumption of dates also has a weak effect on the length of stage III labor (SMD=0.16; CI95%=0.46 to 0.79; p=0.610).Conclusion:  Consumption of dates has an influence on labor outcomes.Keywords:  phoenix dactylifera, dates, labor, postpartum hemorrhage, Bishop scoreCorrespondence: Ratna Purwani Siwi. Masters Program in Public Health, Universitas Sebelas Maret. Jalan Ir. Sutami 36A, Surakarta 57126, Central Java, Indonesia. Email: [email protected]. Mobile: 085602389598.Indonesian Journal of Medicine (2023), 08(01): 79-91https://doi.org/10.26911/theijmed.2023.08.01.08

Effect of Hypnobreastfeeding on Fatigue and Motivation to Breastfeed in Post Partum Mothers Starting on Day 3

Background: Fatigue is a condition in which individuals feel tired and reduce their physical and mental abilities and will not go away with rest. Mothers with postpartum fatigue have a higher risk of stopping breastfeeding. This study aimed to analyze the effect of hypno-breastfeeding on maternal fatigue and motivation for breastfeeding post-partum mothers starting on the 3rd day in the working area of the Arjasa Health Center.Subjects and Method: Research with a Pre-Experimental design was conducted at the Arjasa Health Center, Jember, East Java in January 2023. A total of 33 mothers were selected by cluster sampling. The dependent variable is the fatigue of the postpartum mother and the motivation for breastfeeding. The independent variable is the provision of hypno-breastfeeding. Data was collected using the PFS and BMIMS questionnaires. Data were analyzed using paired sample T-test.Results: Mother's fatigue before (Mean= 51.60; SD= 16.73) was higher than after (Mean= 36.06; SD= 7.45) given hypno-breastfeeding and was statistically significant (p<0.001). Mothers' motivation in breastfeeding after being given hypno-breastfeeding treatment (Mean= 85.96; SD= 4.64) was higher than before (Mean= 68.80; SD= 14.66), and statistically significant (p<0.001).Conclusion: Hypno-breastfeeding is effective in reducing fatigue and increasing motivation in breastfeeding post-partum mothers.Keywords: hypno-breastfeeding, postpartum mothers, fatigue, breastfeeding motivation.Correspondence: Ida Watna. Master's Program of Public Health, Strada Institute of Health Sciences, Indonesia. Jl. Manila No. 37, Tosaren, Kec. Islamic Boarding School, City of Kediri, East Java 64123. Email: [email protected]. Mobile: +62 823-3423-6376.Indonesian Journal of Medicine (2023), 08(02): 150-156https://doi.org/10.26911/theijmed.2023.08.02.04 

Meta-Analysis: Effectiveness of Scoliosis Brace to Reduce Scoliosis Curve Degree in Adolescent Idiopathic Scoliosis

Background: Adolescent Idiopathic Scoliosis (AIS) is a disorder of the spine that is curved laterally which includes rotation of the spine so that there is humpback on the ribs, which occurs in children aged 10-18 years. The use of a brace is an attempt to modify the mechanical shape and control the development of curves in the curvature of the spine by applying certain pressure points on the body. The purpose of this study was to determine the magnitude of the effect of using the scoliosis brace to reduce the degree of scoliosis in adolescents with idiopathic scoliosis.Subjects and Method: This study was conducted using a systematic review and meta-analysis study design using PICO, population: adolescent idiopathic scoliosis, intervention: using a scoliosis brace. comparison: not using a scoliosis brace, outcome: degree of scoliosis. The articles used in this study come from 3 databases, namely Google Scholar, PubMed, and Science Direct. With keywords including "Adolescent scoliosis" OR "scoliosis" AND "scoliosis brace" OR "brace" AND "degree of scoliosis" OR "Cobb Angle" AND "randomized control trial". The articles included in this study are full paper articles with experimental studies, research subjects of adolescent patients with scoliosis, articles published in the 2011-2021 period.Results: A meta-analysis was conducted on 10 primary randomized control trials conducted from Turkey, China, Canada, Switzerland, the United States, and Hong Kong, with a total sample size of 558. The meta-analysis concluded that adolescent patients with idiopathic scoliosis who received intervention The scoliosis brace had a lower grade of scoliosis 0.27 compared to adolescents who did not use the scoliosis brace, and the difference was statistically significant (SMD= -0.27; 95% CI= -0.45 to –0.09; p= 0.003).Conclusion: The use of a scoliosis brace can reduce the degree of scoliosis in adolescents with idiopathic scoliosis.Keywords: adolescent idiopathic scoliosis, scoliosis brace, cobb angleCorespondence: Etanaulia Marsim. Master’s Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java, Indonesia. Email: [email protected]. Mobile: +6285840530580.Indonesian Journal of Medicine (2023), 08(01): 12-22https://doi.org/10.26911/theijmed.2023.08.01.0

Effect of Acupressure on Blood Glucose Level in Diabetes Mellitus Patients: Meta-Analysis

Background: Diabetes Mellitus (DM) is a group of metabolic diseases characterized by hyperglycemia resulting from abnormalities in insulin secretion that affect blood sugar levels. Chronic hyperglycemia in DM is associated with long-term damage to several organs of the body. One of the interventions that can be given to lower blood sugar levels is acupressure therapy. The purpose of this study was to determine the effect of acupressure therapy on blood sugar levels in patients with diabetes mellitus.Subjects and Method: This study is a systematic review and meta-analysis with PICO, P: Diabetes mellitus patients, I: Acupressure, C: No acupressure, O: Blood sugar levels. The process of searching for articles is done through a database of journals including: Pubmed, Google Scholar, Science Direct, Scopus, Spinger Link, CNKI and Hindawi. The keywords used in the literature search were: “acupressure” AND “diabetes” AND “blood sugar” AND “blood glucose” AND “standard controlled trial”, “acupressure for diabetes”, “diabetes standardized controlled trial”, “acupressure randomized controlled trial”. trial”, diabetes acupoint, “diabetes and placebo”, “acupressure” AND “diabetes”. The articles included in the study were full text articles with a randomized controlled trial study design and the results were reported with the effect size, mean standard deviations (SMD). Articles were collected using PRISMA flow diagrams and analyzed using the Review Manager 5.3 application.Results: A meta-analysis of 9 articles reviewed in this study came from Taiwan, China, Indonesia, Egypt and Iran with a sample size of 451. The study results showed that acupressure therapy was able to reduce blood sugar levels in diabetes mellitus patients with SMD blood sugar values. acupressure was 0.56 units lower than no acupressure and was statistically significant with a significance value of (SMD=-0.56; 95% CI= -0.76 to -0.37; p<0.001).Conclusion: Acupressure therapy has the effect of lowering blood sugar levels in diabetes mellitus patients.Keywords: acupressure, blood sugar, diabetes mellitus.Correspondence: Muslihatin Khuril Rosyida. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Jawa Tengah, Indonesia. Email: [email protected]. Mobile: 08564713149.Indonesian Journal of Medicine (2023), 08(01): 68-78https://doi.org/10.26911/theijmed.2023.08.01.0

Effectiveness of Mirror Therapy on Post Stroke Functional Ability: A Meta-Analysis

Background: Stroke is the third leading cause of death after heart disease and cancer. One of the impacts of stroke is it causes a decrease in the functional ability to carry out daily activities, therefore mirror therapy is carried out to restore the functional ability. The study aims to determine the effect of mirror therapy on the functional ability of post-stroke patients based on previous primary studies.Subjects and Method: It was a systematic review and meta-analysis study with PICO as follows: P= post-stroke patients, I= mirror therapy, C= conventional therapy, and O= functional ability. Data collection was conducted from databases, namely: Google Scholar and PubMed. The inclusion criteria used were full-text articles in English, with randomized control trial design, published in 2006-2021. The keywords used were "stroke" AND "mirror therapy" AND "functional independence measure" OR "FIM" AND "randomized control trial". The inclusion criteria of the study were articles using a randomized control trial study design, the effect size used was the Mean SD, the subjects of the study were patients with poststroke conditions, the intervention given was mirror therapy, the comparison was conventional therapy, with the outcome was increased functional ability. The articles were analyzed using Review Manager 5.3. application.Results: The meta-analysis was conducted on 9 primary studies from several countries such as Turkey, South Korea, India, and Italy. The results of the study showed that there was an effect of mirror therapy on the functional ability of post-stroke patients. Patients who obtained mirror therapy had a functional ability of 0.92 units higher than conventional therapy. The results were statistically significant (SMD= 0.92; 95% CI= 0.67 to 1.17; p<0.001).Conclusion: mirror therapy can improve the functional ability of post-stroke patients.Keywords: mirror therapy, functional ability, post-strokeCorrespondence: Galang Aji Samudera. Master’s Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java, Indonesia. Email: [email protected]. Mobile: +6287836783209.Indonesian Journal of Medicine (2023), 08(01): 1-11https://doi.org/10.26911/theijmed.2023.08.01.01

Effect of Combinations of Quadriceps Exercise and Hip Abductor Exercise on Pain in Knee Osteoarthritis Patients in Orthopedic and Traumatology Outpatient Care

Background: Osteoarthritis is a disorder of the moving joints. Pain functioning are the main complaints of the disease osteoarthritis of the knee. The purpose of the study was to analyze the effect of a combination of quadricep exercise and hip abductor exercise on pain in knee among osteoarthritis patients.Subjects and Method: The study was carried out at the East Java Regional Hospital for the period of December 2022 to March 2023. The study population was knee joint osteoarthritis patients of degree 1 to degree 2. The sampling technique used in this study was purposive sampling, with inclusion and exclusion criteria. The number of samples in quantitative research was 60 respondents. The dependent variable is pain, while the independent variable is quadriceps exercise and hip abductor exercise. The instrument used is the WOMAC questionnaire. Analysis of the study was using the Wilcoxon test and the Mann Whitney test.Results: There was a significant difference in pain between the control and intervention groups after conducting a combination of quadriceps exercises and hip abductor exercises (p=0.043)Conclusion: The combination of quadriceps exercise and hip abductor exercise is effective on pain reduction in knee osteoarthritis patients.Keywords: quadriceps, hip abductor, osteoarthritis.Correspondence: Dia Metasari. Master of Nursing, Universitas Airlangga, Indonesia. Jl. Dr. Ir. H. Soekarno, Mulyorejo, Surabaya, East Java 60115. Email: [email protected]. Mobile: +628563040303.Indonesian Journal of Medicine (2023), 08(02): 186-193https://doi.org/10.26911/theijmed.2023.08.02.0

Clinical Demographics Characteristic of Total Knee Arthroplasty at Prof IGNG Ngoerah General Hospital, Bali, Indonesia

Background:  Total knee arthroplasty (TKA) is a widespread surgical procedure for severe arthritis. By 2030, primary TKA would reach over 1.2 million procedures annually in the United States. In Indonesia, the prevalence of joint disease is about 19.5 million cases. This study aims to evaluate the clinical demographics characteristics of TKA in Prof. Ngoerah General Hospital, Bali, Indonesia.Subjects and Method:  This is a descriptive study using a Cross-Sectional method with a total 57 adult patients undergoing TKA caused by Osteoarthritis grade III/IV in Prof IGNG Ngoerah Hospital from June 2020-June 2022. The dependent variable is the TKA procedure. Independent Variable is Age, gender, grade of knee osteoarthritis, comorbidities, and complications Data from the medical record was collected and stored in a Microsoft Office Excel 365 spreadsheet, the distributive table was analyzed and collected by using SPSS.Results:  Patient characteristic is dominated by an elderly female (84.2%), with age group 61-70 (38.6%). Comorbidities in this study include hypertension (28.1%), type II diabetes (10.5%), and rheumatoid disease (1.8%). The main complication recorded in this study includes joint stiffness (3.5%), and persistent pain (5.3%).Conclusion:  After Total Knee Arthroplasty was performed on 57 patients with a wide range of comorbidities, only a small number of complications occurred. This study implied that TKA could be performed even if the patient had some comorbidities as long as the patient pursued a complete pre and post-operative evaluation algorithm of the procedure.Keywords:  knee arthroplasty, osteoarthritis, human and medicine, rehabilitationCorrespondence:  IGN Wien Aryana, Consultant of Sports Medicine, Dept. Orthopaedic and Traumatology, Prof IGNG Ngoerah General Hospital, Faculty of Medicine, Udayana University. Jl. Diponegoro, Dauh Puri Klod. Denpasar City, Bali 80113 Email: [email protected]. Mobile: +62811385263.Indonesian Journal of Medicine (2023), 08(02): 128-135https://doi.org/10.26911/theijmed.2023.08.02.01

Effect of Ethanolic Extract of Moringa oleifera, Lam. Roots on Expression of Cyclin D1 in Testicular Tissue of Metabolic Syndrome Induced Wistar Rats

Background: Metabolic syndrome (MS) impacts on inhibition process of spermatogenesis by damaging various components of cell cycle proteins. Cyclin D1 protein which plays role in regulating the cell cycle of spermatogenic cells is depleted due to the metabolic syndrome. Variation results of M. oleifera studies on fertility are interesting for further research. This study aimed to determine the effect of ethanolic extract of M. oleifera roots towards expression of testicular cyclin D1 of metabolic syndrome induced Wistar rats.Subjects and Method: This study was an experimental laboratory. Thirty subjects of male Wistar rats were randomly divided into 5 groups consisted of 6 rats, control group (K1), MS group (K2), and treatment groups (K3, K4, and K5) which were given doses of 150, 250, and 350 mg/kgBW, respectively for 28 days. Induction of MS was achieved by high-fat diet for 28 days and injection of streptozotocin-nicotinamide (STZ-NA) on day 25. Cyclin D1 data was calculated using Intensity Distribution Score (IDS) and analyzed using one-way ANOVA test followed by post hoc multiple comparisons with Tukey HSD. Simple liniar regression test conducted on cyclin D1 data of K2, K3, K4, and K5.Results: One-way ANOVA test showed that the administration of ethanolic extract M. oleifera Lam. roots with doses of 150, 250, and 350 mg/kgBW in 28 days increased cyclin D1 significantly (p= 0.000). There were significant differences between K1 and K2 (p= 0.000), K2 and K3 (p= 0.000), K2 and K4 (p= 0.000), K2 and K5 (P= 0.000). Liniar regression test showed significant (p= 0.000) and moderate effect (R2= 0.65) of doses of ethanolic extract of M. oleifera roots on the expression of cyclin D1.Conclusion: The administration of ethanolic extract Moringa oleifera Lam. roots with doses of 150, 250, and 350 mg/kgBW for 28 days increased cyclin D1 in testicular rats

The Difference of Neiguan Acupressure Points (Pc6), Hypnotherapy, and Hypnopressure in Reducing Anxiety of Hemodialysis Patients

Background: The anxiety felt by patients undergoing hemodialysis can decrease the quality of life, cause a sleep disorder, and even aggravate the disease. Acupressure, hypnotherapy, or hypnopressure have minimal side effects and are easy to do in reducing anxiety. The study aims to analyze the different effects of acupressure, hypnotherapy, and hypnopressure in reducing anxiety in patients undergoing hemodialysis programs.Subjects and Method: It was an experimental study using a randomized controlled trial. It was conducted at Dr. Moewardi Hospital Surakarta, Central Java. The number of study subjects from March 2021 - July 2022 was 300 patients undergoing the hemodialysis program, with 75 subjects obtaining acupressure intervention, 75 subjects obtaining hypnotherapy intervention, 75 subjects obtaining hypnopressure intervention, and 75 subjects obtaining standard/control treatment. The sampling technique used was purposive sampling. The dependent variables in this study were acupressure, hypnotherapy, and hypnopressure, while the independent variable was the anxiety of patients who underwent a hemodialysis program for less than a year or less than 10 times. Anxiety was tested using the Hamilton Rating Scale for Anxiety questionnaire. Data analysis was conducted using an independent t-test, with the SPSS statistics program.Results: Post-acupressure anxiety score (Mean= 17.31; SD= 3.22) was lower than pre-acupressure (Mean= 23.17; SD= 2.68) and the result was statistically significant (p<0.001). Post-hypnotherapy anxiety score (Mean= 15.13; SD= 2.83) was lower than pre-hypnotherapy (Mean= 23.09; SD= 2.38), and the result was statistically significant (p<0.001). anxiety score after hypnopressure (Mean= 12.64; SD= 2.23) was lower than before hypnopressure (Mean= 23.13; SD= 2.53) and the result was statistically significant (p<0.001).Conclusion: Hypnopressure is more effective in lowering anxiety in patients undergoing a hemodialysis program.Keywords: anxiety, acupressure, hypnotherapy, hypnopressure, hemodialysisCorrespondence: Hanung Prasetya. Health Polytechnique of Health Ministry Surakarta. Jl. Letjend Sutoyo, Mojosongo, Surakarta 57127. Email: [email protected]. Mobile: 08122638908Indonesian Journal of Medicine (2023), 08(01): 59-67https://doi.org/10.26911/theijmed.2023.08.01.0